2007至2008年湖州市急性农药中毒情况分析

Analysis of Acute Pesticide Poisoning in Huzhou between 2007 and 2008

  • 摘要:
    目的 通过对浙江省湖州市2007至2008年农药中毒情况的分析,探讨该地区农药中毒的严重程度、中毒原因及预防对策。

    方法 收集该市2007至2008年度农药中毒全部报告1 101例,对病死率和构成比进行统计学分析。

    结果 该市共发生急性农药中毒1 101例,死亡55例,总病死率5.00%。中毒死亡以35~55岁年龄组最高(39.33%),男性和女性的中毒病死率分别为4.42%和5.60%。引起中毒的农药以有机磷杀虫剂为主。生产性农药中毒以夏、秋季高发,非生产性农药中毒无明显季节性。

    结论 该市急性农药中毒的发生率和病死率均处于较高水平,应减少使用和替代农业生产过程中的高毒农药,加强农药使用过程中的个人防护,加强农村人口的心理卫生教育,提高农村医疗机构院前急救水平,以减少急性农药中毒和死亡的发生。

     

    Abstract:
    Objective To understand the pesticide poisoning pattern and provide preventive strategy against the pesticide poisoning in a city of Zhejiang province in 2007-2008.

    Methods Case records of pesticide poisoning were retrieved from a national monitoring system reported between 2007 to 2008. Descriptive analysis was applied and chi square test was used for rate comparison.

    Results Total of 1101 cases of acute pesticide intoxication from 2007 to 2008 were collected, including 55 fatalities (5.00%). There were 39.33% of fatalities fell in age of 35-55. The fatality rate of male and female was 4.42% and 5.60%. Organophosphorus insecticides were the most frequent cause in occupational pesticides poisoning. Summer and autumn were the most common seasons in occupational pesticides poisoning occurring.

    Conclusion High incidence rate and fatality rate of acute pesticide poisoning were found in this area. To control acute pesticide poisoning and related fatality, the relevant authority should enforce the reduction and substitution of highly toxic pesticides in local forming, strengthen personal protection in applications of pesticide, enhance health education, and improve the rural medical infrastructure, especially pre-hospital emergency care.

     

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